Embryo with Arthrogrypos: a rare case report

Arthrography is a rare congenital disorder which is identified with joint involvement, muscle weakness and fibrosis and sometimes is accompanied with a series of cholestasis renal tubes abnormalities and bone disorder. Arthrography has no definite treatment, but rehabilitation for improvement of organs' function is possible. In this study, a case of male embryo with Arthrography and decision for abortion in 21st weeks of pregnancy is reported. The patient was a 34-year-old woman with fourth pregnancy, second parity and history of spontaneous abortion. The screening tests were normal embryo in the first and second stages, but regarding the findings of one-way hydronephrosis, one-way coronary cyst, two-way fierce club in the examination of fetal organs, relative reduction in fetal movements and bilateral articulation, amniocentesis was performed and arthrography was detected. The mother was hospitalized at gestational age of 21 weeks and 4 days and underwent abortion. After receiving misoprostol and oxytocin, she was unresponsive and hysterotomy was performed and the placenta and embryo were removed. Arthrography is a congenital disorder that due to the occurrence of abnormalities and problems, early and timely diagnosis before delivery should be considered. This syndrome is detectable by ultrasound and therefore, it is recommended that screening and imaging measures, and prenatal care be performed more sensitively especially in high risk pregnant women.